| NPI | 1376751529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-135855) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101019561) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2014-09-02 |